WAL-MART STORES EAST, LP
NPI: 1558441261
· CLEVELAND, TN 37323
· 156FX1800X
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2018 |
569 |
$8K |
| 2019 |
1,011 |
$14K |
| 2020 |
572 |
$8K |
| 2021 |
1,413 |
$11K |
| 2022 |
1,795 |
$11K |
| 2023 |
1,660 |
$11K |
| 2024 |
1,570 |
$10K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Vision svcs frames purchases |
3,665 |
3,416 |
$34K |
| V2103 |
Spherocylindr 4.00d/12-2.00d |
1,746 |
1,675 |
$28K |
| V2100 |
Lens spher single plano 4.00 |
584 |
574 |
$10K |
| V2784 |
Lens polycarb or equal |
766 |
644 |
$516.00 |
| V2750 |
Anti-reflective coating |
1,090 |
986 |
$65.00 |
| V2781 |
Progressive lens per lens |
267 |
234 |
$43.50 |
| V2744 |
Tint photochromatic lens/es |
409 |
387 |
$0.00 |
| V2702 |
Deluxe lens feature |
27 |
27 |
$0.00 |
| V2025 |
Eyeglasses delux frames |
36 |
36 |
$0.00 |